MEDICARE: MOUNTAINSTAR MEDICAL GROUP-ST. MARKS HOSPITAL, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073795258
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOUNTAINSTAR MEDICAL GROUP-ST. MARKS HOSPITAL, LLC

Provider Business Mailing Address
First Line	:	2000 HEALTH PARK DR
Second Line	:
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-4525
Country	:	US
Telephone Number	:	615-373-7600
Fax Number	:	866-346-1426

Provider Business Practice Location Address
First Line	:	348 E 4500 S STE 300
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84107-8535
Country	:	US
Telephone Number	:	801-266-2777
Fax Number	:

Authorized Official
Title or Position	:	VP
Name	:	LOUIS JOSEPH
Credential	:
Telephone Number	:	615-373-7630

Provider Enumeration Date	:	11/29/2007
Last Update Date	:	01/02/2023

Similar Medicare Providers

1588236442 — KATHLEEN SHERRIE RICH
Practice Location Address:

348 E 4500 S STE 300
SALT LAKE CITY, UT
84107-8535

Practice Phone: 801-266-2777
Practice Fax:

1609827880 — MS. ERIN BETH ENGEL DPM
Practice Location Address:

7200 STUDEBAKER RD
TIPP CITY, OH
45371-8535

Practice Phone: 937-478-3855
Practice Fax:

1447378732 — JOHANA NICOLE MATTHEWS PHARM.D,
Practice Location Address:

8590 STERLING CT
PLAIN CITY, OH
43064-8535

Practice Phone: 614-332-1305
Practice Fax:

1952679813 — JENNY ANN BOWIN
Practice Location Address:

25140 S 4TH ST
OSAGE CITY, KS
66523-8535

Practice Phone: 785-249-0916
Practice Fax:

1588227227 — ERIN NICOLE MCBRIDE NP-C
Practice Location Address:

8 SW 89TH ST STE 200
OKLAHOMA CITY, OK
73139-8535

Practice Phone: 405-761-2762
Practice Fax: 405-561-5960

1235757071 — EQUALITY HEALTH GROUP LLC
Practice Location Address:

8 SW 89TH ST STE 200
OKLAHOMA CITY, OK
73139-8535

Practice Phone: 405-420-7328
Practice Fax: 405-561-5960

Directions to “MOUNTAINSTAR MEDICAL GROUP-ST. MARKS HOSPITAL, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.